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Gastroenterology

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In the first six months of 2018

CDC: 8.8 Percent Uninsured in U.S. in First Half of 2018

12.5 percent of adults aged 18-64 years and 4.4 percent of children aged 0-17 years uninsured
Both hospitalizations and deaths are increasing among Medicare recipients with liver cancer

Burden of Liver Cancer Rising in Medicare Patients

Coexistence of other liver conditions tied to even higher risk for death, health care costs
Combined treatment with glecaprevir and pibrentasvir is highly effective in treating chronic hepatitis C virus genotype-1 infections that failed to respond to direct-acting antiviral therapy

Option Found for Retreatment of Chronic Hep C Infection

Glecaprevir + pibrentasvir effective for those who previously failed direct-acting antiviral treatment
Patients with uncomplicated appendicitis undergoing nonoperative management are more likely to have an appendicitis-associated readmission and to develop an abscess

Harms ID’d With Nonoperative Management of Appendicitis

Higher likelihood of readmission, developing abscess; more follow-up needed in year after admission
Rising drug spending in the United States is being fueled by expensive name-brand prescription medicines

Name-Brand Medications Driving Spike in U.S. Drug Spending

Greatest costs for Humira, Remicade, Enbrel, Novolog, and Neulasta
Data from patient- and family-reported error narratives indicate that problems related to patient-physician interactions are major contributors to diagnostic errors

Patient Experiences Shed Light on Diagnostic Errors

Problems related to patient-physician interactions contribute to diagnostic errors
Investigations of hepatitis A outbreaks in four states in 2017 suggested a shift toward increasing person-to-person transmission of hepatitis A

2017 Hepatitis A Outbreaks Tied to Drug Use, Homelessness

57 percent of patients with outbreak-associated hepatitis A reported drug use, homelessness, or both
By collecting data on suicides by medical students

AMA to Collect Data on Suicide Among Doctors-in-Training

Administration hopes to identify the systemic factors that contribute to this problem
The quantity of opioids prescribed after surgery is associated with patient-reported opioid consumption

Quantity of Opioids Prescribed Postop Linked to Consumption

Patients use 0.53 more pills for every additional opioid pill prescribed; pain also tied to consumption
A short parent questionnaire may be able to identify gastrointestinal disorders in children with autism spectrum disorder

Short Questionnaire IDs GI Disorders in Children With Autism

17 questions for parents minimally rely on a child's ability to report pain